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Macon County Samaritan Hospital

Organization Active NPI Critical Access Hospital · Macon, MO

NPI 1699714303 · NPPES record last updated May 3, 2011

Key facts

NPI
1699714303
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
Legal business name
MACON COUNTY SAMARITAN HOSPITAL
Practice address
1205 N Missouri St
Macon, MO 63552-2095
Phone
(660) 385-8700
Fax
(660) 385-8701
NPI assigned
Jun 6, 2006
Organization subpart
Yes
Parent organization (as reported)
MACON COUNTY SAMARITAN HOSPITAL

Authorized official

Name
Susan J. Spencer, CPA
Title
Cfo
Phone
(660) 385-8716

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Hospital certification: CCN 26Z313

Legal name
MACON COUNTY SAMARITAN HOSPITAL
Doing business as
SAMARITAN HOSPITAL
Organization structure
Other · Non-profit
Enrollment address
1205 N Missouri St
Macon, MO 63552-2095

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Macon County Samaritan Hospital
Organization · Macon, MO 		Operational/Managerial Control Aug 1, 1986 100%
Jill E Williams
Individual 		Contracted Managing Employee
Ceo		 Dec 11, 2019 100%
Corporate Officer
Cfo		 May 8, 2017

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Samaritan Hospital
Macon, MO · CCN 261313		 Hospital Operational/Managerial Control (100%) Aug 1, 1986
Total Family Health Care a Division of Samaritan Hospital
Macon, MO · CCN 268567		 Rural health clinic Operational/Managerial Control Jul 31, 2003

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100916001036 MO Part a Provider - Critical Access Hospital 1456261395 Practice locations: Macon, MO

National Provider Directory

Tax ID family
Macon County Hospital (4 organizations share this tax ID)
Part of
Macon County Hospital

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Yes

Addresses

Primary practice location

1205 N Missouri St
Macon, MO 63552-2095

Mailing address

1205 N Missouri St
Macon, MO 63552-2095
Phone (660) 385-8700

Other names

  • Samaritan Hospital Doing business as

Other providers in Macon, MO

All providers in Macon, MO · Critical Access Hospital in Missouri

Sources for this page

Verify at the official NPI Registry.